Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $977.24	Facility		$831.76	$831.76	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,479.11	Professional		$630.96	$776.25	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,513.56	Facility		$831.76	$831.76	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,548.82 / $1,949.84	Professional		$831.76	$1,548.82	$1,949.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $1,698.24	Professional		$1,148.15	$1,548.82	$1,698.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,737.80 / $7,079.46	Facility		$912.01	$1,737.80	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $2,238.72	Professional		$645.65	$851.14	$2,238.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,548.82 / $2,041.74	Professional		$1,479.11	$1,548.82	$2,041.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,238.72 / $2,238.72	Professional		$1,548.82	$2,238.72	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,122.02 / $2,187.76	Facility		$512.86	$1,122.02	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $676.08 / $1,230.27	Professional		$645.65	$676.08	$1,230.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,318.26	Professional		$1,047.13	$1,318.26	$1,318.26